If the Supreme Court overturns Roe v. Wade, Jessica Nouhavandi's online pharmacy Honeybee Health will be key to abortion access nationwide. She speaks to abbyabrams
, one of the two drugs involved in medication abortion, prevented clinics from using telehealth appointments or mailing the medication. So medical groups sued the FDA, asking the agency to allow them to mail the pills during the ongoing public health emergency. In July 2020, a federal district court judge in Maryland agreed, and temporarily suspended the in-person dispensing requirement, saying providers could offer telemedicine appointments and then mail the pills to their patients.
One day, Wells was on a webinar where an ACLU lawyer said the court ruling should allow providers to contract with online pharmacies. A number of providers had already been in touch with Nouhavandi, and they started more serious discussions about how Honeybee could help. “It wasn’t even a question,” says Nouhavandi, who has long had an interest in reproductive health and access. “It was yes, absolutely, let’s figure out how to do this.
This lack of information was due in part to the restrictions that the FDA has put on mifepristone since the drug was first approved in 2000. Most notably, the FDA required it to be dispensed in a clinic, doctor’s office or hospital. Providers are also required to get specially certified to prescribe the medication, must counsel patients on the risks, and then have the patient sign a form confirming they’ve been told that same information.
But the new certification requirement “came out of left field,” Nouhavandi says. One major wrinkle was that no certification process currently exists. Mifepristone’s manufacturers are working with the FDA to get a procedure approved, but that process could still take months.
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